Individual provider Active NPI

Sarah Louise Gallagher, L.M.T.

  • Other Specialist/Technologist
  • Tigard, OR
National Provider Identifier
1841248911
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Practice address
12270 SW Aspen Ridge Dr
Tigard, OR 97224-0713
Phone
(503) 267-3716
Fax
(503) 644-0409
NPI assigned
May 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X Primary

Addresses

Primary practice location

12270 SW Aspen Ridge Dr
Tigard, OR 97224-0713

Mailing address

4060 SW 110TH Ave
Chiropractic Life Center
Beaverton, OR 97005-3017
Phone (503) 644-4846

Other identifiers 1

IdentifierTypeStateIssuer
10087OtherORMASSAGE LICENSE

Other names 1

  • Mrs. Sarah Louise Johansen-Gallagher Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841248911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 SW 110TH AVE",
            "address_2": "CHIROPRACTIC LIFE CENTER",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053017",
            "telephone_number": "503-644-4846",
            "fax_number": "503-644-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12270 SW ASPEN RIDGE DR",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972240713",
            "telephone_number": "503-267-3716",
            "fax_number": "503-644-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "SARAH",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "10087",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "JOHANSEN-GALLAGHER",
            "middle_name": "LOUISE",
            "prefix": "MRS.",
            "credential": "L.M.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.